Impact of Periampullary Duodenal Diverticula at Endoscopic Retrograde Cholangiopancreatography: A Proposed Classification of Periampullary Duodenal Diverticula

Boix, Jaume; Lorenzo-Zúñiga, Vicente; Añaños, Fidel Ernesto; Domènech, Eugeni; Rm, Morillas; Ma, Gassull

doi:10.1097/00129689-200608000-00002

Cited by 104 publications

(135 citation statements)

References 18 publications

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“…Previous studies showed a high prevalence of JAD (1.83% to 32.8%). 1,2,[6][7][8][9][10][11][12][13][14] In our study, 225 patients were diagnosis with JAD after the use of ERCP. We report a prevalence of 4.5% that is consistent with previous reports.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of juxta-ampullary duodenal diverticulum

Chen

Li²,

Li³

et al. 2010

CIM

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Objective: To summarize the diagnosis and treatment of juxta-ampullary duodenal diverticulum (JAD) in our hospital. Methods: Of 5000 consecutive endoscopic retrograde cholangiopancreatography (ERCP) performed in our department, 225 patients were diagnosed with JAD and treated. All patients were classified based on the location of Ampullae of Vater in relation to the duodenal diverticulum. Of the 225 JAD patients, 96 patients (43%) required surgery. Results: The 225 patients with JAD were divided into Type A (146 cases, 65%) or Type B (79 cases, 35%). Type A patients presented with papillae near the diverticulum or in its margin. In this type, 36 patients (25%) presented with diverticulitis, bleeding, perforation or cholelithiasis, and were treated surgically. Type B patients presented with papillae inside the diverticulum. Among them, 60 patients (76%) had complications requiring surgery. Conclusions: JAD can be divided into two types based on location of the papillae. ERCP was the primary method of diagnosing JAD and patients with severe complications required surgical intervention.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of juxta-ampullary duodenal diverticulum

Chen

Li²,

Li³

et al. 2010

CIM

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“…Periampullary diverticula were classified as type I, II, or III according to the position of the major papilla from the endoscopic view (12). In type I, the major papilla was located inside of the diverticulum; in type II, the major papilla was located in the margin of the diverticulum; and in type III, the major papilla was located outside of the diverticulum.…”

Section: Assessment Of Risk Factors For Cbd Stone Recurrencementioning

confidence: 99%

Size of recurrent symptomatic common bile duct stones and factors related to recurrence

Chang

Kim²,

Kim³

et al. 2014

Turk J Gastroenterol

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Background/Aims: Some common bile duct (CBD) stones recur after endoscopic stone extraction. Little information is available on the size and recurrence interval of recurrent symptomatic CBD stones or on ways to prevent recurrence. Materials and Methods: Between January 2007 and December 2011, consecutive 481 patients undergoing endoscopic extraction of CBD stones at a single institute were enrolled. We selected 34 patients with recurrent symptomatic CBD stones and 63 patients who were followed up more than five years without recurrence. Results: The sizes of the CBD stones increased during the recurrences: 10.1±5.2 mm, 13.5±7.3 mm, and 16.8±7.8 mm at the initial presentation, the first recurrence, and the second recurrence, respectively (p=0.016). Among CBD stone recurrences, 50% occurred within 2.3 years, and 80% occurred within 5.3 years. The recurrence group had a smaller proportion of patients under 50 years of age, larger CBD diameters, less histories of more than 10 mm endoscopic papillary large-balloon dilation (EPLBD), and more type I periampullary diverticula, compared with the non-recurrence group (p<0.05). Multivariate analysis revealed that EPLBD more than 10 mm and smaller CBD diameter were independently related to less recurrence of CBD stones (p=0.001 and 0.012, respectively). Conclusion: The sizes of CBD stones increased during recurrences. EPLBD more than 10 mm and smaller CBD diameter were related to less recurrence of CBD stones.

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“…5,13 Duodenal diverticula are rare below age 40 years and has a tendency to increase with age. [5][6][7][8][9]11 They intraluminal or extraluminal. They typically occur in the periampullary region, along the medial aspect of the second and third part of the duodenum.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Diverticula usually found in people above 40 and has a tendency to increase with age. [5][6][7][8][9] PAD occurred in up to 65% of elderly patients in some studies. 10 Diverticula occur at locus minoris in the duodenal wall such as the site of entry of the common bile duct, pancreatic duct and perivascular connective tissue sheath.…”

Section: Introductionmentioning

confidence: 99%

Treatment Options of Lemmel’s Syndrome: A Case of Benign Obstructive Jaundice in The Elderly

Prasetyaningtyas

Rahman

Sudoyo

et al. 2015

InaJGHE

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Impact of Periampullary Duodenal Diverticula at Endoscopic Retrograde Cholangiopancreatography: A Proposed Classification of Periampullary Duodenal Diverticula

Abstract: PDD are common, especially in older patients, and do not significantly increase the difficulty of deep cannulation.

Cited by 104 publications

References 18 publications

Diagnosis and treatment of juxta-ampullary duodenal diverticulum

Diagnosis and treatment of juxta-ampullary duodenal diverticulum

Size of recurrent symptomatic common bile duct stones and factors related to recurrence

Treatment Options of Lemmel’s Syndrome: A Case of Benign Obstructive Jaundice in The Elderly

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